Oesophagomediastinal fistula: a rare complication of tuberculosis

We report a case of a woman from Thailand, living in Malta, who was diagnosed with concomitant tuberculosis (TB) and HIV with depleted CD4 count. Her case was further complicated by the formation of a fistula between the mediastinal lymph nodes and the oesophagus, an unusual finding but for which she had many risk factors. The diagnosis was suspected on CT scan of the thorax and confirmed via upper gastrointestinal endoscopy. Following the commencement of both anti-TB and antiretroviral therapy, she suffered a lapse of immune reconstitution inflammatory syndrome but with aggressive medical management eventually made a full recovery without the need for surgical intervention.

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Primary Gastrointestinal Kaposi’s Sarcoma in a Patient with Human Immunodeficiency Virus

Case Reports in Oncology ◽

10.1159/000492715 ◽

2018 ◽

Vol 11 (3) ◽

pp. 638-647 ◽

Cited By ~ 1

Author(s):

Martin Ignacio Zapata Laguado ◽

Jorge Enrique Aponte Monsalve ◽

Jorge Hernan Santos ◽

Javier Preciado ◽

Andres Mosquera Zamudio ◽

...

Keyword(s):

Gastrointestinal Bleeding ◽

Kaposi's Sarcoma ◽

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Kaposi’S Sarcoma ◽

Skin Lesions ◽

Clinical Findings ◽

Upper Gastrointestinal Endoscopy ◽

Immunodeficiency Virus ◽

Upper Gastrointestinal

Gastrointestinal bleeding in HIV patients secondary to coinfection by HHV8 and development of Kaposi’s sarcoma (KS) is a rare complication even if no skin lesions are detected on physical examination. This article indicates which patients might develop this type of clinical sign and also tries to recall that absence of skin lesions never rules out the presence of KS, especially if gastrointestinal involvement is documented. Gastrointestinal bleeding in terms of hematemesis has rarely been reported in the literature. We review some important clinical findings, diagnosis, and treatment approach. We present the case of an HIV patient who presented to the emergency department with hematemesis and gastrointestinal signs of KS on upper gastrointestinal endoscopy without any dermatological involvement.

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Periorbital and mediastinal emphysema after upper gastrointestinal endoscopy: Case report of a rare complication

Journal of Ophthalmic and Vision Research ◽

10.4103/jovr.jovr_270_15 ◽

2017 ◽

Vol 12 (3) ◽

pp. 345 ◽

Cited By ~ 2

Author(s):

Thankappan Lekha ◽

Leelakrishnan Venkatakrishnan ◽

Karuppannasamy Divya ◽

Lavanya Perumal

Keyword(s):

Case Report ◽

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Mediastinal Emphysema ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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Upper Gastrointestinal Manifestation of Bezoars and the Etiological Factors: A Literature Review

Gastroenterology Research and Practice ◽

10.1155/2019/5698532 ◽

2019 ◽

Vol 2019 ◽

pp. 1-13 ◽

Cited By ~ 1

Author(s):

Samiullah Khan ◽

Kui Jiang ◽

Lan-ping Zhu ◽

Iftikhar-ahmad Khan ◽

Kifayat Ullah ◽

...

Keyword(s):

Risk Factors ◽

Gastrointestinal Endoscopy ◽

Surgical Intervention ◽

Upper Gastrointestinal Endoscopy ◽

Comorbid Conditions ◽

Large Size ◽

Gastric Bezoar ◽

Gastrointestinal Manifestation ◽

Foreign Materials ◽

Upper Gastrointestinal

A gastric bezoar is a compact mass of indigestible foreign materials that accumulate and consolidate in the stomach; however, it can be found in other sites of the gastrointestinal tract. The causative manner of this condition is complex and multifactorial. The main purpose of the review was to raise awareness among clinicians, particularly gastroenterologists, that patients with certain risk factors or comorbid conditions are predisposed to gastric bezoar formation. Early diagnosis and prompt intervention are crucial to avoid bezoar-induced complications. Upper gastrointestinal endoscopy is the standard diagnostic and therapeutic method for gastric bezoars. However, for large size bezoars, surgical intervention is needed.

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Intramural esophageal dissection: a rare complication of upper gastrointestinal endoscopy

QJM ◽

10.1093/qjmed/hcv107 ◽

2015 ◽

Vol 109 (1) ◽

pp. 71-72 ◽

Cited By ~ 1

Author(s):

Q. Wang ◽

H. Zeng ◽

Y. Mou ◽

H. Yi ◽

W. Liu ◽

...

Keyword(s):

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Upper Gastrointestinal Endoscopy ◽

Esophageal Dissection ◽

Upper Gastrointestinal

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Gastric volvulus following diagnostic upper gastrointestinal endoscopy: a rare complication

BMJ Case Reports ◽

10.1136/bcr-2013-202833 ◽

2014 ◽

Vol 2014 (feb10 1) ◽

pp. bcr2013202833-bcr2013202833 ◽

Cited By ~ 2

Author(s):

V. S. Karthikeyan ◽

S. C. Sistla ◽

D. Ram ◽

N. Rajkumar

Keyword(s):

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Gastric Volvulus ◽

Upper Gastrointestinal Endoscopy ◽

Upper Gastrointestinal

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Tension Pneumoperitoneum: A Rare Complication of Upper Gastrointestinal Endoscopy

JSLS Journal of the Society of Laparoendoscopic Surgeons ◽

10.4293/108680812x13462882736655 ◽

2012 ◽

Vol 16 (3) ◽

pp. 495-497 ◽

Cited By ~ 9

Author(s):

Nikolaos Symeonidis ◽

Konstantinos Ballas ◽

Efstathios Pavlidis ◽

Kyriakos Psarras ◽

Theodoros Pavlidis ◽

...

Keyword(s):

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Upper Gastrointestinal Endoscopy ◽

Tension Pneumoperitoneum ◽

Upper Gastrointestinal

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Tension pneumoperitoneum following upper endoscopy

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa401 ◽

2020 ◽

Vol 2020 (11) ◽

Author(s):

Catherine Denkler ◽

Helene M Sterbling ◽

Hani Seoudi

Keyword(s):

Mesenteric Ischemia ◽

Gastrointestinal Endoscopy ◽

Rare Complication ◽

Sudden Onset ◽

Upper Gastrointestinal Endoscopy ◽

Tension Pneumoperitoneum ◽

Massive Gastrointestinal Hemorrhage ◽

Massive Accumulation ◽

Upper Gastrointestinal ◽

Abdominal Compartment

Abstract Perforation of the digestive tract is a rare complication of endoscopy. Massive accumulation of air within the peritoneum resulting in the abdominal compartment syndrome is much less common with <20 cases reported. In this report we present a case of jejunal perforation during an upper gastrointestinal endoscopy that resulted in tension physiology with mesenteric ischemia, severe acidosis, renal failure, coagulopathy and massive gastrointestinal hemorrhage. The patient had a sudden onset of shock as soon as her abdomen was decompressed, indicating that she possibly developed a reperfusion injury. She did not respond to resuscitative efforts and ultimately died.

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